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Florida Licensed Utilization Management RN
VirtualVocationsRochester, New York, United Statesjob_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Utilization Management RN PRN.
Key Responsibilities
Analyze patient records to assess hospital admissions, treatment legitimacy, and appropriate care levels
Facilitate precertification and payer authorization processes to prevent unnecessary denials
Collaborate with multidisciplinary teams to ensure efficient delivery of care and resolve status conflicts
Required Qualifications, Training, and Education
Current and valid RN license (ADN or BSN)
3 years of acute care clinical nursing experience
2 years of Utilization Management experience or equivalent professional experience
Familiarity with electronic health records for at least 2 years
Knowledge of state and federal guidelines related to care management
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Utilization Management Rn • Rochester, New York, United States
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